Laboratory Result Report: Requested Test Result Units Reference Value Method Immunology

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LABORATORY RESULT REPORT

Head of Laboratory Department : Prof. dr. Marzuki Suryaatmadja, Sp.PK(K)

Passport No. : - ID Number : 6405012512960001


Reg. No. : 2012100513J Physician : dr. MCU FRANSISKA LUSIANA
Med. Rec. No. : MHJS.0000232176
Patient Name : ARRASYID Reg. Date : 11-Jan-2021 10:23
DOB / Age : 25-Des-1996 / 25 Year 1 Month 14 Day Finish Date : 11-Jan-2021 18:53
Gender : Male
Address : Jl. Bhayangkara RT. 009/00 Sungai Naymuk Sebatik Timur
Location : POLI

REQUESTED TEST RESULT REFERENCE VALUE UNITS METHOD

IMMUNOLOGY
PLATINUM PCR PACKAGE C-19
IMMUNOLOGY
PCR SARS-Cov-2 (Covid-19) Negative Negative RT-PCR
Swab Date 11-Jan-2021
Specimen Nasopharyngeal
and Oropharyngeal

Authorized by,

( dr.Marliana N.L.Gaol, Sp.PA, MH.Kes )

Validated by :
1/ Decimal point is interpreted with dot (.) & thousands with blank space.
2/ The exact interpretation of the results can only be given by the physician who holds all examination data.
3/ The Rapid test are as screening only (temporary) and still need to be confirmed by more established tests.

Printed by : dr.Marliana N.L.Gaol, Sp.PA, MH.Kes Page :1/1

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